附註:Includes bibliographical references and index.
Acknowledgments; Acronyms and Abbreviations; Introduction; Part I: The Conceptual Framework; Part II: Making Strategic Purchasing Pro-Poor; Part III: Purchasing Health Services; Part IV: Purchasing Inputs; Part V: Supply, Demand, And Markets; Part VI: Legal And Regulatory Issues; PART I. THE CONCEPTUAL FRAMEWORK; 1. Managing Scarcity through Strategic Purchasing of Health Care; The Evolution of Health Systems and Collective Financing of Health Care; Reform Trends in Public Spending on Health Care; Continued Need for Strong Public Policy in Managing Scarce Resources
The Purchaser-Provider SplitGetting Value for Public Money Spent on Health Care; Forthcoming Books on Resource Allocation and Purchasing in the Health Sector; References; 2. For Whom to Buy? Are Free Government Health Services the Best Way to Reach the Poor?; The Beneficiaries of Government Health Service Expenditures; Focusing Government Services on the Poor; Encouraging the Better-Off to Pay for Their Own Services; Conclusions; Notes; References; 3. What to Buy? Revisiting Priority Setting in Health Care; Some Approaches to Priority Setting; Economic Evaluation; Equity Issues
Practical ConstraintsConclusions; References; 4. From Whom to Buy? Selecting Providers; Defining and Identifying Eligible Providers and Matching the Intervention; Can the Purchaser Buy the Desired Intervention from the Eligible Providers?; References; 5. How to Pay? Understanding and Using Payment Incentives; Payment System Types and a Conceptual Framework for Incentives; Which Payment System Should Be Chosen?; Discussion; Notes; References; 6. At What Price? Affordable and Realistic Fees; Overview of Provider Payment Methods; Calculating Costs-Methods and Information Available
Characteristics of Purchasers and ProvidersConclusions; Notes; References; PART II. MAKING STRATEGIC PURCHASING PRO-POOR; 7. The Equity Dimensions of Purchasing; The Evidence; What Does An "Equitable Distribution of Health and Health Benefits" Mean?; Defining Variables: Resource Allocation and Purchasing Reforms; Conclusions and Recommendations; Notes; References; 8. Reversing the Law of Inverse Care; The Inverse Care Law At Work in Rich and Poor Countries; The Infrastructure of Inequity; Methodological Issues: How to Construct Resource Allocation for Equity in Access; References
9. Risk Pooling and PurchasingApproaches to Risk Pooling; Practical Issues; Conclusions; Note; References; PART III. PURCHASING HEALTH SERVICES; 10. Paying for Public Health Services: Financing and Utilization; Who Should Pay for Public Health Services?; How Should Providers Be Paid?; Toward Better Financing and Payment Policies; References; 11. Buying Results: Contracting for Primary Health Care Delivery; Why Contract-Ideology or Pragmatism?; Approaches to Contracting; Study Methodology; Results: Contracting Can Quickly Improve Service Delivery; Methodological Limitations of This Review
摘要:With a special focus on strategic purchasing and contracting of services from nongovernmental providers, this title reviews ways to make public spending on health care more efficient and equitable in developing countries. It is recommended that: experiments and pilot projects for improving public sector hospitals should focus on mission clarity and organizational simplification; programs for improving the composition of utilization should experiment with payments to consumers and with health labor force composition and training; and; initiatives to attract providers to rural areas should use explicit deferred compensation contracts to improve monitoring.
